Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 5 Issue 5

Sphenoid Sinus; Variability of its Surrounding Neurovascular Structures

Shahid Rasool1*, Syed Ruzina2, Matoo Priyanka2, Aadil Malik3, Shilpam Sharma4, Zohda Tayyaba5 and Syeda Alwera Ahmad6

1Assistant Professor, MS, Department of ENT, Hamdard Institute of Medical Sciences, New Delhi, India
2Assistant Professor, MD, Department of Radiodiagnosis, Hamdard Institute of Medical Sciences, New Delhi, India
3Senior Resident, MD, Department of Radiodiagnosis, Hamdard Institute of Medical Sciences, New Delhi, India
4Assistant Professor, MS, Department of ENT-HNS, Hamdard Institute of Medical Sciences, New Delhi, India
5Senior Resident, MS, Department of ENT-HNS, Hamdard Institute of Medical sciences, New Delhi, India
6Resident MBBS, Department of ENT, Hamdard Institute of Medical Sciences, New Delhi, India

*Corresponding Author: EShahid Rasool, Assistant Professor, Department of ENT, Hamdard Institute of medical sciences, New Delhi, India.

Received: March 24, 2023; Published: April 28, 2023


Unilateral foul smelling nasal discharge has been the commonest clinical presentation among children and when reported in adults, foul smelling discharge, recurrent episodes of epistaxis may be alarming but predominantly among mentally retarded patients Generally, any patient with unilateral foul smelling nasal discharge should be considered to have a foreign body until proven otherwise especially children. Rhinoscopy remains to be the main stay in establishing the presence of a foreign body in the nose.

The aim of this case report is to report an unusual long standing rhinolith which was masqueraded by an intranasal pyogenic granuloma and review the few available literatures. Perhaps this is the first interesting case globally from the available literatures

Any patient who presents with a unilateral nasal discharge should raise the suspicion of a nasal foreign body and in children this must be regarded the case until proved otherwise. The physical examination of the nose involving anterior rhinoscopy and use of either a fibreoptic nasopharyngoscope or a 0 degree rigid endoscope will often reveal the foreign object. However on occasions mucosal oedema or granulations tend to hide it. In such cases the nose should be sprayed with a vasoconstrictor agent to shrink the mucosa before re-examination. Many times the foreign body becomes apparent with this maneuver. In younger or very apprehensive children it may be necessary for the search to be carried out under a general anaesthesia. The case is of an adult patient, not mentally retarded with long standing FB in the nose with complication of granuloma formation which was misdiagnosed as pyogenic granuloma.

Keywords: Epistaxis; Rhinolith; Sane Adult


  1. Vedasalam S., et al. “Nasoendoscopy for unusual nasal symptoms”. BMJ Case Reports 2010 (2010): bcr0420102911.
  2. A Denker and W Brünings. Lehrbuch der Krankheiten des Ohres und der Luftwege, Gustav Fischer, Jena, Germany (1912).
  3. D Linnert. “Exogene Ursachen für die Entstehung von Nasensteinen”. Zeitschrift fur Laryngologie, Rhinologie, Otologie und ihre Grenzgebiete8 (1996): 524-528.
  4. H Olbrich. “Rhinolith in einem Gaumendefekt”. HNO 13 (1965): 116-117.
  5. A J Hoffmann and D J H Wagenfeld. “Rhinolith (nasal stone) associated with chronic otorrhea: a case report”. South African Medical Journal3 (1986): 200-201.
  6. T R Flood. “Rhinolith: an unusual cause of palatal perforation”. British Journal of Oral and Maxillofacial Surgery 6 (1988): 486-490.
  7. S Kharoubi. “Rhinolithiasis associated with septal perforation a case report”. Acta Oto-Rhino-Laryngologica Belgica 3 (1998): 241-245.
  8. K Orhan., et al. “Rhinolithiasis: an uncommon entity of the nasal cavity”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology2 (2006): E28-E32.
  9. D G Balatsouras., et al. “Rhinolithiasis: an unusual cause of nasal obstruction”. Rhinology 3 (2002): 162-164.
  10. Shaheen OH. “Arterial epistaxis”. Journal of Laryngology and Otology 1 (1975): 17-34.
  11. Moreau S., et al. “Supraselective embolization in intractable epistaxis: Review of 45 cases”. Laryngoscope 108.6 (2020): 887-888.
  12. Koehler P., et al. “'Lost in Nasal Space': Staphylococcus aureus sepsis associated with Nasal Handkerchief Packing”. Infection2 (2019): 307-311.
  13. Zhang T., et al. “Clinical Features and Surgical Outcomes of Posterior Segment Intraocular Foreign Bodies in Children in East China”. Journal of Ophthalmology 2018 (2018): 5861043.
  14. Morris S., et al. “Will children ever learn? Removal of nasal and aural foreign bodies: a study of hospital episode statistics”. Annals of the Royal College of Surgeons of England (2018): 1-3.


Citation: Shahid Rasool., et al. “Sphenoid Sinus; Variability of its Surrounding Neurovascular Structures".Acta Scientific Otolaryngology 5.5 (2023): 48-52.


Copyright: © 2023 Shahid Rasool., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US